What is OHIP billing code A325?

A325 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A325 pay?

The current OHIP fee for A325 is $119.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A325 to OHIP?

A325 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A325 claims against the Schedule of Benefits rules before submission.

What codes are related to A325?

Codes related to A325 in the Schedule of Benefits include A225, A220, A223, A226, A221.

All codes

A325

A325 – Limited consultation

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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Levels of this visit

The A32x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

A325 Limited consultation(this code)
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation.
$119.40
A320 Special Medical Assistance in Dying (MAID) consultation
A special Medical Assistance in Dying (MAID) consultation is a consultation conducted for the purpose of assessing the eligibility for MAID in a patient who has submitted a…
$174.25

A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation. Otherwise, a limited consultation has the same requirements as a full consultation.

A written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures) is mandatory.

The consultant must prepare a written report (including findings, opinions, and recommendations) and send it to the referring provider.

The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

The written request must be signed by the referrer and kept in the consultant's medical record (or common medical record in hospitals/LTC).

The request must identify the consultant (name/specialty), the referrer (name/billing number), and the patient (name/health number).

The request must specify the information relevant to the referral and the services required.

Usage limits

Limited to one service per patient per physician per two consecutive 12-month periods for the same diagnosis. For a clearly defined unrelated diagnosis, the limit is one service every 12 months.

A225Consultation (Genetics)A220Special genetic consultation (minimum 75 minutes)A223Extended special genetic consultation (minimum 90 minutes)A226Repeat consultation (Genetics)A221Genetic minor assessment

A limited consultation is defined by being less demanding and requiring substantially less time than a full consultation (A225).

If the consultation is requested by a Medical Trainee, the fee is adjusted to a general or specific assessment fee.

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